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Nearly all MIPS clinicians score bonuses for year 1

Nearly all MIPS clinicians score bonuses for year 1

By Maria Castellucci  |  November 08, 2018

Of the more than 1 million eligible clinicians who participated in MIPS in 2017, 93% will receive a bonus on each of their Medicare Part B claims beginning Jan. 1. About 5% of clinicians will receive a penalty as high as 4% on their claims.

CMS made error when calculating MIPS payments

CMS made error when calculating MIPS payments

By Virgil Dickson  |  September 21, 2018

The CMS is telling providers it made a mistake when processing payments under the Merit-based Incentive Payment System. It's urging doctors to check their performance and reach out to the agency if they think a mistake was made.

Smaller MIPS leads to smaller payouts for large health systems

Smaller MIPS leads to smaller payouts for large health systems

By Virgil Dickson  |  September 11, 2018

Providers warned the CMS that its proposal to let thousands of doctors continue to sit out of the Merit-based Incentive Payment System undermines their investments to comply with the program as well as the health of seniors.

CMS must impose prior authorization for chiropractors, GAO says

CMS must impose prior authorization for chiropractors, GAO says

By Virgil Dickson  |  August 02, 2018

The CMS has not complied with a section of MACRA that requires it to impose prior authorization for chiropractic services, a government watchdog found. Chiropractors have one of the highest rates of improper payments in Medicare.

MIPS on track to be SGR 2.0 if not fixed, doctors say

MIPS on track to be SGR 2.0 if not fixed, doctors say

By Virgil Dickson  |  July 26, 2018

During a congressional hearing, leaders from key medical societies accused the CMS of attempting to undermine Congress' work to help doctors move to value-based care as part of MACRA.

CMS to test Medicare Advantage as alternative payment model under MACRA

CMS to test Medicare Advantage as alternative payment model under MACRA

By Virgil Dickson  |  June 29, 2018

The CMS wants to allow doctors in Medicare Advantage plans to be considered part of alternative payment models under MACRA and therefore get credit for their efforts to improve quality and contain costs. Clinicians say they're already taking on risk under the plans.

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